Online Membership Application | NZAMM

Welcome and thank you for your interest in the NZAMM.
Membership of the NZAMM is only open to New Zealand registered medical practitioners.

Membership will give you access to:

Australasian Musculoskeletal Journal free one issue per year ( currently moving to electronic)
CME at reduced prices within NZAMM and at selected AFMM retreats
Peer Support for your practice in musculoskeletal medicine
An online business listing through the NZAMM website directory.

Please fill in this Membership Application and we’ll get back in touch with you confirming your application.

General Details

MCNZ Number

MBChB (or equivalent) year

Name

First Last

Date of Birth

Ethnicity

Gender

Male
Female
Other/ rather not say

Email

Professional Qualifications

Include issuing authority and year for each one

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

CV

Please upload a copy of your cv with a current photo

Referees

Please supply the names and contact details of one to two referees, one of whom should be a financial member of the NZAMM

Referee's Name (1)

Referee's contact number

Referee's Name (2)

Referee's contact number

I agree that I have read the Constitution and Rules*

Yes

Constitution and Rules

I agree that I have the read the Privacy Statement*

Yes

Privacy Statement